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A Previously Healthy 30-Year-Old Woman Comes to the Physician Because

Question 527

Multiple Choice

A previously healthy 30-year-old woman comes to the physician because of a 6-month history of a recurring rash on her face, arms, and hands. She has also noticed several ulcers in her mouth. She is sexually active with one male partner and they use condoms inconsistently. Her mother has end-stage renal disease. The patient does not smoke or drink alcohol. Her vital signs are within normal limits. Physical examination shows an erythematous rash across the cheeks and extensor surface of the arms and hands as shown in the image below.  . There are three small ulcers on the hard palate. A previously healthy 30-year-old woman comes to the physician because of a 6-month history of a recurring rash on her face, arms, and hands. She has also noticed several ulcers in her mouth. She is sexually active with one male partner and they use condoms inconsistently. Her mother has end-stage renal disease. The patient does not smoke or drink alcohol. Her vital signs are within normal limits. Physical examination shows an erythematous rash across the cheeks and extensor surface of the arms and hands as shown in the image below.  . There are three small ulcers on the hard palate.   Which of the following laboratory findings is most likely to be seen in this patient's condition? A) Decreased levels of complements C3 and C4 B) Elevated titer of anti-cyclic citrullinated peptide antibodies C) Elevated titer of anti-mitochondrial antibodies D) Positive cervical swab culture for Neisseria gonorrhoeae E) Positive testing for human leukocyte antigen-B27 Which of the following laboratory findings is most likely to be seen in this patient's condition?


A) Decreased levels of complements C3 and C4
B) Elevated titer of anti-cyclic citrullinated peptide antibodies
C) Elevated titer of anti-mitochondrial antibodies
D) Positive cervical swab culture for Neisseria gonorrhoeae
E) Positive testing for human leukocyte antigen-B27

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